TY - JOUR
T1 - Limits of the ‘Mini-Mental State’ as a screening test for dementia and delirium among hospital patients
AU - Leresche, Linda
AU - Niaz, Unaiza
AU - Von Korff, Michael R.
AU - Folstein, Marshal F.
N1 - Funding Information:
We gratefully acknowledge the cooperation of Dr Richard Johannes and his staff on the general medical ward which was the site for this study, as well as the thoughtful suggestions of Drs Ernest M. Gruenberg and Morton Kramer, who read drafts of the manuscript. Support for this research was provided, in part, by NIMH Training Grants 5T32MH1 4592 and 5T01MH1 432503.
PY - 1982/5
Y1 - 1982/5
N2 - With a psychiatrist's standardized clinical diagnosis as the criterion, the ‘Mini-Mental State' Examination (MMSE) was 87% sensitive and 82% specific in detecting dementia and delirium among hospital patients on a general medical ward. The false positive ratio was 39% and the false negative ratio was 5%. All false positives had less than 9 years of education many were 60 years of age or older. Performance on specific MMSE items was related to education or age. These findings confirm the MMSE’s value as a screen instrument for dementia and delirium when later, more intensive diagnostic enquiry is possible they reinforce earlier suggestions that the MMSE alone cannot yield a diagnosis for these conditions.
AB - With a psychiatrist's standardized clinical diagnosis as the criterion, the ‘Mini-Mental State' Examination (MMSE) was 87% sensitive and 82% specific in detecting dementia and delirium among hospital patients on a general medical ward. The false positive ratio was 39% and the false negative ratio was 5%. All false positives had less than 9 years of education many were 60 years of age or older. Performance on specific MMSE items was related to education or age. These findings confirm the MMSE’s value as a screen instrument for dementia and delirium when later, more intensive diagnostic enquiry is possible they reinforce earlier suggestions that the MMSE alone cannot yield a diagnosis for these conditions.
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U2 - 10.1017/S0033291700046730
DO - 10.1017/S0033291700046730
M3 - Article
C2 - 7100362
AN - SCOPUS:0020325846
SN - 0033-2917
VL - 12
SP - 397
EP - 408
JO - Psychological medicine
JF - Psychological medicine
IS - 2
ER -